NPI age
18 years
Enumerated 2008-01-02
Across 1225 active clinic/center providers in Texas.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4411879 | AETNA |
| 05 (TX) | 108039202 | |
| 01 (TX) | 82454T | BLUE CROSS BLUE SHIELD |
Multi-provider organization. 6 individual providers on file at this primary address.
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